Active NPI
Roger Blinder, DC
- Chiropractor
- Lighthouse Point, FL
National Provider Identifier
1457574030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7536
- Practice address
- 3102 N Federal Hwy
Lighthouse Point, FL 33064-6738 - Phone
- (954) 933-3839
- Fax
- (954) 933-3836
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH7536 | FL | Primary |
Addresses
Primary practice location
3102 N Federal Hwy
Lighthouse Point, FL 33064-6738
Mailing address
3102 N Federal Hwy
Lighthouse Point, FL 33064-6738
Phone (954) 933-3839
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76004 | Other | FL | BLUE SHIELD |
| CH7356 | Other | FL | DEPARTMENT OF MEDICAL QUALITY ASSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1457574030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3102 N FEDERAL HWY",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330646738",
"telephone_number": "954-933-3839",
"fax_number": "954-933-3836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3102 N FEDERAL HWY",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330646738",
"telephone_number": "954-933-3839",
"fax_number": "954-933-3836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLINDER",
"first_name": "ROGER",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "76004",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF MEDICAL QUALITY ASSURANCE",
"identifier": "CH7356",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lighthouse Point, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.